Stroudsburg, PA

Stroudsburg Post Acute Nursing & Rehabilitationllc

1-star overall rating with 1-star inspections with $112,359 in total fines with 12 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

4227 Manor Drive, Stroudsburg, PA

(570) 992-4172

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

174

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Rosenberg Family

Operator or chain grouping

Approved since

1980-04-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 3 overall / 2 health / 4 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.67

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.93

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.20

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.79

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.59

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.28

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.69

CMS adjusted RN staffing hours

Adjusted total hours

3.94

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

72%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

63%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,193

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

33.70

Composite VBP score used to determine payment impact.

Payment multiplier

0.9879

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.25

Baseline 17.36% · Performance 20.85% · Measure score 1.25 · Achievement 1.25 · Improvement 0

Healthcare-associated infections

Baseline 6.74% · Performance 7.24% · Measure score 2 · Achievement 2 · Improvement 0

Total nurse turnover

4.31

Baseline 55.26% · Performance 46.08% · Measure score 4.31 · Achievement 4.31 · Improvement 2.52

Adjusted total nurse staffing

5.92

Baseline 4.31 hours · Performance 4.76 hours · Measure score 5.92 · Achievement 5.92 · Improvement 2.56

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.56%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 138 · Observed rate 7.97% · Lower 95% interval 6.56%
Discharge to community	58.03%	50.57% 7.5 pts better	Better than the National Rate · Eligible stays 118 · Observed rate 51.69% · Lower 95% interval 50.76%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	96.4%	95.27% 1.1 pts better	Numerator 107 · Denominator 111
Falls with major injury	2.7%	0.77% 1.9 pts worse	Numerator 3 · Denominator 111
Discharge self-care score	22.5%	53.69% 31.2 pts worse	Numerator 18 · Denominator 80
Discharge mobility score	35%	50.94% 15.9 pts worse	Numerator 28 · Denominator 80
Pressure ulcers or injuries, new or worsened	5.41%	2.29% 3.1 pts worse	Numerator 6 · Denominator 111 · Adjusted rate 4.6%
Healthcare-associated infections requiring hospitalization	7.24%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 88 · Observed rate 6.82% · Lower 95% interval 4.17%
Staff COVID-19 vaccination coverage	2.86%	8.2% 5.3 pts worse	Numerator 4 · Denominator 140
Staff flu vaccination coverage	62.83%	42% 20.8 pts better	Numerator 71 · Denominator 113
Discharge function score	38.75%	56.45% 17.7 pts worse	Numerator 31 · Denominator 80
Transfer of health information to provider	96.08%	95.95% 0.1 pts better	Numerator 49 · Denominator 51
Transfer of health information to patient	95%	96.28% 1.3 pts worse	Numerator 19 · Denominator 20
Resident COVID-19 vaccinations up to date	19.23%	25.2% 6 pts worse	Numerator 10 · Denominator 52

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.5	1.7 1.8 pts worse	1.9 1.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.2 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	1.2 0.5 pts worse	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.6 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	76.2%	86.9% 10.7 pts worse	93.4% 17.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 72.1% · Q2 75.7% · Q3 70.4% · Q4 86.1% · 4Q avg 76.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	88.0%	93.5% 5.5 pts worse	95.5% 7.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 88.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.6%	3.2% 1.4 pts worse	3.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.7% · Q3 5.6% · Q4 4.2% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	6.5% 6.5 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	3.4%	6.5% 3.1 pts better	5.4% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.8% · Q3 5.2% · Q4 3.4% · 4Q avg 3.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.1%	19.9% 1.2 pts worse	19.6% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 20.0% · Q3 18.6% · Q4 21.9% · 4Q avg 21.1%
Percentage of long-stay residents who received an antipsychotic medication	12.2%	18.7% 6.5 pts better	16.7% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 13.3% · Q3 13.7% · Q4 9.4% · 4Q avg 12.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	9.3%	19.6% 10.3 pts better	16.3% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q3 0.0% · Q4 3.4% · 4Q avg 9.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.2%	18.3% 2.1 pts better	14.9% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 25.5% · Q3 17.0% · Q4 8.1% · 4Q avg 16.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.9% 0.6 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.7%	1.7% 2 pts worse	1.7% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.0% · Q3 7.1% · Q4 1.5% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	31.0%	26.4% 4.6 pts worse	19.8% 11.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 25.4% · Q3 38.5% · Q4 30.0% · 4Q avg 31.0%
Percentage of long-stay residents with pressure ulcers	6.2%	5.3% 0.9 pts worse	5.1% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 6.7% · Q3 8.7% · Q4 4.8% · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	64.1%	68.9% 4.8 pts worse	81.7% 17.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 84.9% · Q2 78.2% · Q3 64.7% · Q4 35.8% · 4Q avg 64.1%
Percentage of short-stay residents who had an outpatient emergency department visit	14.3%	9.8% 4.5 pts worse	12.0% 2.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 13.5% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	1.5% 1 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.3%	68.7% 10.6 pts better	79.7% 0.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.7%	23.1% 5.6 pts worse	23.9% 4.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 30.8% · Expected 25.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-25 · Fire 2025-07-25

12 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-09-13 · Fire 2024-09-13

12 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-09-15 · Fire 2023-09-15

18 health deficiencies

Top issue: Resident Rights (5 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-07-25

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-08-05

E · Potential for more than minimal harm 2025-07-25

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2025-08-05

E · Potential for more than minimal harm 2025-07-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-08-05

E · Potential for more than minimal harm 2025-07-25

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-08-05

C · Minimal harm 2025-07-25

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-08-05

C · Minimal harm 2025-07-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-08-05

E · Potential for more than minimal harm 2024-09-13

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-10-18

E · Potential for more than minimal harm 2024-09-13

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-10-18

E · Potential for more than minimal harm 2024-09-13

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-10-18

E · Potential for more than minimal harm 2024-09-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-18

E · Potential for more than minimal harm 2024-09-13

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-10-18

E · Potential for more than minimal harm 2024-09-13

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2024-10-18

E · Potential for more than minimal harm 2024-09-13

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-10-18

E · Potential for more than minimal harm 2023-09-15

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-10-25

E · Potential for more than minimal harm 2023-09-15

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-10-25

E · Potential for more than minimal harm 2023-09-15

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-10-25

C · Minimal harm 2023-09-15

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-10-25

C · Minimal harm 2023-09-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-25

Inspection history

Recent health citations

G · Actual harm 2025-07-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-27

F · Potential for more than minimal harm 2025-07-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-08-27

E · Potential for more than minimal harm 2025-07-25

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-08-27

E · Potential for more than minimal harm 2025-07-25

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-09-02

E · Potential for more than minimal harm 2025-07-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-07-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-08-27

D · Potential for more than minimal harm 2025-07-25

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-08-27

D · Potential for more than minimal harm 2025-07-25

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-07-25

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2025-08-27

C · Minimal harm 2025-07-25

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-08-27

D · Potential for more than minimal harm 2025-04-15

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-29

D · Potential for more than minimal harm 2025-04-15

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-04-29

E · Potential for more than minimal harm 2024-09-13

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-12-05

E · Potential for more than minimal harm 2024-09-13

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-09-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-09-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-09-13

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-09-13

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-09-13

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-09-13

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-09-13

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-12-05

E · Potential for more than minimal harm 2024-05-29

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-29

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-05-29

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-07-15

E · Potential for more than minimal harm 2023-09-15

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2023-11-01

E · Potential for more than minimal harm 2023-09-15

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-11-01

E · Potential for more than minimal harm 2023-09-15

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-11-01

E · Potential for more than minimal harm 2023-09-15

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-11-01

E · Potential for more than minimal harm 2023-09-15

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2023-11-01

E · Potential for more than minimal harm 2023-09-15

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-11-01